DR. EDWARD CARL KLEITSCH PH.D. NPI 1205812559

NPI Information

NPI: 1205812559
Provider Name: DR. EDWARD CARL KLEITSCH, PH.D.
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
4300 W 7TH ST
NEUROLOGY SERVICE 127/LR
LITTLE ROCK, AR
ZIP 72205
Phone: (501) 257-6596
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DR. Edward Carl Kleitsch, PH.D. is a clinical neuropsychologist in Little Rock, AR. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. DR. Edward Carl Kleitsch, PH.D. NPI is 1205812559. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4300 W 7TH ST
NEUROLOGY SERVICE 127/LR
LITTLE ROCK, AR
ZIP 72205-446
Phone: (501) 257-6596

The NPI 1205812559 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 12/19/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103G00000X	Clinical Neuropsychologist		92-8P	ARKANSAS	Yes
2	103TC0700X	Psychologist	Clinical	92-8P	ARKANSAS	X
3	103TH0100X	Psychologist	Health Service	92-8P	ARKANSAS	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5S742	MEDICARE ID-TYPE UNSPECIFIED	ARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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